ATI RN
ATI Maternity Nur230 Questions
Extract:
Client at 33 weeks of gestation with placenta previa
Question 1 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. What is the priority nursing action?
Correct Answer: A
Rationale: Monitoring vaginal bleeding is critical in placenta previa due to the risk of severe hemorrhage.
Extract:
Adolescent client at 38 weeks with preeclampsia
Question 2 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: A
Rationale: Deep tendon reflexes of +1 (hyporeflexia) are inconsistent with preeclampsia, which typically involves hyperreflexia.
Extract:
Pregnant client
Question 3 of 5
A nurse is caring for a pregnant client and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included?
Correct Answer: A
Rationale: Vaginal bleeding during pregnancy can indicate serious complications like placenta previa or placental abruption, requiring immediate reporting to the healthcare provider.
Extract:
34-year-old pregnant woman with chronic hypertension, seizure at 32 weeks
Question 4 of 5
Sarah, a 34-year-old pregnant woman, has had a blood pressure consistently ranging from 140/90 to 160/98 since she was 26. Her weight gain and urinalysis have been normal. What is this condition called? At 32 weeks' gestation, Sarah experiences a seizure. Her blood pressure has been elevated since 28 weeks, her urine dipstick shows 4+ protein, and she exhibits generalized edema. What is this condition called?
Correct Answer: B
Rationale: Chronic hypertension predates pregnancy, and eclampsia is indicated by seizures with proteinuria and edema.
Extract:
6-month-old infant receiving digoxin
Question 5 of 5
A nurse is preparing to administer digoxin to a 6-month-old infant. Before administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?
Correct Answer: A
Rationale: A heart rate below 90 bpm in infants indicates potential digoxin toxicity risk, requiring the dose to be withheld.